Provider Demographics
NPI:1952574758
Name:ALLEN, TONYA COPELAND (CMT, LMT)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:COPELAND
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CMT, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 SHELBYVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-6380
Mailing Address - Country:US
Mailing Address - Phone:615-494-3277
Mailing Address - Fax:
Practice Address - Street 1:3416 SHELBYVILLE HWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127-6380
Practice Address - Country:US
Practice Address - Phone:615-494-3277
Practice Address - Fax:615-895-9133
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-12
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist